World Health Organization Regional Office for South-East Asia

Emergency Preparedness and Response

Regional and Inter-country Initiatives

 

*     MoU with International Federation of the Red Cross

 

The first MOU between SEARO-WHO and IFRC was signed in September 2003. It was a consensual commitment between the two organizations both at regional and country level to collaborate on disaster preparedness and response, control of communicable diseases including HIV/AIDS, and voluntary, non-remunerated blood donation.

In light of the progress achieved in strengthening the technical cooperation during the first collaboration period, the MoU was renewed in March 2007 up to the period ending 31 December 2009. Collaboration will be focused on two areas, namely HIV/AIDS and Emergency Preparedness and Response. A mid-term review will be undertaken by the two organizations to monitor progress and prepare for further cooperation.

The collaboration in emergency preparedness and response will focus on four main areas of work:

*     Initiatives for improved emergency preparedness with a focus on community empowerment and capacity building. This will involve developing and updating guidelines and standard operating procedures for national emergency preparedness and response planning; organizing national level stakeholder workshops to identify and prioritize interventions at the district / village level; and implementing capacity-building plans for priority communities.

*     Response coordination following the Cluster approach. This will focus on formulating rules of engagement and operational pre-arrangements for emergency response.

*     Research, which will focus on operations research and / or good documentation of good practices for community based disaster and health risk management; and studies to document regional experience in the application of the principles of Good Humanitarian Donorship (GHD).

*     Partnership and advocacy, with a focus on promotion of the WHO-IFRC collaboration and partnership, organizing meetings with interested parties to discuss emergency preparedness issues, and on advocacy initiatives to address key health issues.

 

Public Health and Emergency Management in Asia and the Pacific (PHEMAP)

PHEMAP is an inter-regional training programme between SEARO and WPRO. It is organized in collaboration with the Asian Disaster Preparedness Center based in the Asian Institute of Technology in Bangkok, Thailand. The course is offered once a year, and covers basic disaster management principles such as: environmental health, communicable diseases control, nutrition, mass casualty management, hospital/health facilities preparedness among others. The course is meant for high level policy makers and programme managers who address disaster and emergency preparedness and response in the health sector. Subsequently, the trainees are expected to support national capacity building for emergency health preparedness and response. National PHEMAP courses have been conducted in Sri Lanka, and additional national level workshops are currently being planned for India and Bangladesh.

 

Public Health Pre-deployment Course (PHPD)

The PHPD course is an important step towards improving the capacity of the international humanitarian community in emergencies. The course is designed to give health and other professionals the public health, personal and operational skills they need to work as part of public health response teams in emergency settings. The course integrates the humanitarian reforms and new coordination mechanisms, including the United Nations Health Cluster approach that has been developed to improve coordination on the ground.

The overall objective of the course is to prepare public health and other professionals to work safely and effectively in inter-agency and national country teams, so that humanitarian health is delivered in a predictable manner and that, ultimately, health action in crises is improved.

In the South-East Asia Region, the first course will be organized by SEARO and the Indian Institute of Health Management Research, Jaipur, India towards the end of 2007.

 

Tsunami Recovery Impact Assessment and Monitoring System (TRIAMS)

 

The Asian Tsunami of 26 December 2004 was one of the worst natural disasters in recent history. Five countries of the WHO South East Asia region were affected, namely India, Indonesia, Maldives, Sri Lanka, and Thailand. The tsunami resulted in a massive outpouring of private and public relief and reconstruction assistance. Official and private pledges reached US $ 13.6 billion, well above the initial 10 US $ billion estimated cost of the reconstruction. However, little is known about the magnitude and nature of the tsunami’s impact on livelihoods, economic activity, and individual well-being, particularly for the poorest and most vulnerable sections of the affected communities. Even less is known about the extent to which recovery efforts have addressed the human and socio-economic losses of he affected communities.

At two meetings of the Global Consortium for Tsunami-Affected Countries (UN, NY June 3, and September 2005) participants agreed on the importance of a common system for tracking the impact of the humanitarian response efforts. Such a system would, 1) enable donors, governments, implementing agencies and beneficiaries to see results more clearly, and 2) help lessen the data collection burdens placed on implementing agencies, governments and recipients of aid. As members of the Global Consortium, the World Health Organization (WHO) and the International Federation of Red Cross and Red Crescent Societies (IFRC) with support from the Office of the Special Envoy (OSE) are leading the collective effort of the Tsunami Recovery Impact Assessment and Monitoring System (TRIAMS).

The overall aim of the TRIAMS is to ensure that governments, donors, NGOs, civil society and other stakeholders are adequately informed on the progress of the recovery efforts in the tsunami-affected areas, so that adjustments can be made to the assistance programs in order to address the un-met needs and the existing inequalities.

The first Regional TRIAMS workshop was held in May 2006, in Bangkok. Key indicators were discussed and agreed among the five countries. In addition, countries recognized the need to also monitor beneficiaries’ perspectives as well as examine recovery via qualitative efforts to help explain the quantitative findings; the quantitative indicators were grouped in four areas of the recovery process, namely: (1) Vital needs; (2) Basic social services; (3) Infrastructure; and (4) Livelihood. The second Regional TRIAMS workshop was held in Bangkok in March 2007 to monitor and discuss the progress. It was organized by WHO, UNDP Regional Centre in Bangkok and the International Federation of Red Cross and Red Crescent Societies (IFRC), and delegates from Indonesia, Maldives, Sri Lanka and Thailand participated.

In Thailand, several national workshops have been organized by WHO, the DDPM and the Phuket Provincial Public Health office (PHO) of the MOPH and involving key National stakeholders. The draft ‘impact assessment and monitoring national plan of action for 2007 to 2009’ was shared at the 2nd Regional Meeting.

 

Roster of experts

The Asian Tsunami in 2004 sharply highlighted the importance of adequate emergency preparedness. The effectiveness of the countries’ response to a disaster of that magnitude depended heavily on their level of preparedness. In order to be able to rapidly deploy experts to the field in support of the National Health Authorities and the WHO country office emergency operations, a web-based roster is being developed.

The database contains regional and national experts who can be deployed to assist the member countries with emergency response. Areas of expertise covered are amongst others: public health, communicable disease surveillance and control, mass casualty management, logistics, information and communication, water and sanitation and nutrition.

 

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